AMANDA BUCKHALTER

LONGVIEW, WA
NPI1417469677
Former NameAMANDA LONGTAIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP00052833)
Enumeration Date2017-10-27
Last Update Date2017-10-27
Business Address
AMANDA BUCKHALTER LPN
921 14TH AVE
LONGVIEW, WA 98632-2316
Phone number: 360-423-0203
Mailing Address
AMANDA BUCKHALTER LPN
921 14TH AVE
LONGVIEW, WA 98632-2316
Phone number: 360-423-0203